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Permit C ITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 00105 COMMUNITY DEVELOPMENT DATE ISSUED: 2/26/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135DA -01000 SITE ADDRESS: 08530 SW PFAFFLE ST ZONING: C -P SUBDIVISION: METZGER ACRE TRACTS LOT : 020 JURISDICTION: TIG PROJECT: DALTON'S CATERING Project Description: (2) branch circuits for exterior walk -in cooler. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: _pef.c Si0 1,)L0 DAVE DALTON 19210 SW MAREE CT LAKE OSWEGO, OR 97035 Phone: 503 - 267 - 4419 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 2/26/2008 $53.50 [ELPRMT] Investigation F 2/26/2008 $53.50 [TAX] 12% State Surchar 2/26/2008 $6.42 REQUIRED ITEMS AND REPORTS Total $113.42 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those - -s are set forth in OAR 952 -00 : f rough OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at .246.6.: • or .800.332.2344. Issued : y: / ' ' Permittee Signature: . r . OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR IN ALLATION ONLY SIGNATURE OF SUPR. ELE 411111W""%_ / ! DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Feb 25 08 06:17p Mike P McDonald ' V c® - - _ - _ 503- 521 -1637 p.1 r. n1 Cal Permit ADpl eEI t Vt: or-1 tc F_ 1 ONLY • Received City of Tigard 2 6 2008 MIMS : R 0 Remit No.. fll`c a at , f -cb(D� 47` ! 3125 SW Hall Blvd., Tigard, OR 47`73 1 roan Review fkl{rr Perm - -• ., - ' Phone: 503.639.4171 Pax: 503.598.196 A R D 1 DetdBy: _ • 1 :L . , ; , Iospcctrott Line: 503.639.417501'Y Or T IG N I Due ltaedylBy: — I,ais IS Ste Pap 2 for Internet: www.tigard•or.gov O'J%S10 l NotifiedrMetbod: ( O. SeppletnenulInformation TYPE OF WORK PLAN REVIEW t...• `...,: .S: .; ;,;�. Ti . Please chock all that apply (subutit 1 syti of plans whletns clucked below) 0 Nov construction © Addition /alteratioNreplaceanent Cl Se vice or feeder 400 amps or more ❑ Hullding cam three erodes. ' Ol Demolition 0 Other: CATEGORY OF CONSTRUCTION M ere oho wadable feat[ current ❑ lvtahitsss sod hpatytnda. exceeds 10,000 amps Id ISO volts or D Floating buildings. . _ less to around, oracceedsld,� CI Comore ill-use twit oluiml o 1 • and 2- homily dwelling ❑ CommcrciaVindustrial ❑ Accessory building amps for all other installations. buildings. L 0 Multi- family 0 Master builder ❑ Other: 0 Fire oump. ❑ Installation of 15 KVA or -, . I7 Fr.etgeocy syrtcm, larger sell vntely derived syncm.I i JOB SITE INFORMATION AND LOCATION ❑ Additionofnewmolar l oadof ❑••A - 1- 2•',•`i -1' • l'' 10d1P or snore. �cuPmcy. Job 110.' , Job site address: '- d S. l�J �s'�v ❑Six or euldeet units. ❑ Remeauonal vebicle parks. i • City /State/ZIP: f e eke[ ✓ 7724.7 °Health- mire ❑ Supply voltage far more ika+ , ,tt al Hazardous locations. 600 volts oowiesl. • suitc/bldg, opt- no.: Project name: �,91# 1 .3 CA- wJ� ❑seMre or feeder 600 amps or more, FEE SCHEDULE: • .... ••::i. : .•: : C'russ street/directions to jab site; ita.e T cuts. — 1 rb 1 _ ___ `` , ' - New residential elogle. or mutt[ -family dwelling soft. 1 tocluda attached garage. ....., • _ Subdivision: Lot no.: 1,000 sq. R or less 145.13 4 ' - - Ea. add' 1 500 sq. R. or portion 33.40 i ` a re x ap /parcel no.: T Limited covey, residential r t • • DESCRIPTION OF WORK... (N,ith above le. R) 75.00 . -d I.int'ted energy, mule - fancily t ITV itU /hr" ,/v (A 4t' C04 1.er ----- maideotial (with above at Ii) . 75.00 t "' -- - Services or feeders installation alteration and/or relocation I _. 80.30 _ _ 200 amps or less 80. F 2 ' ~ ©'PROPERTY OWNER ❑TENANT 20 i scrolls to 400 amps 106.85 :' t j - , ( jam ,-,, 1 401 amps io 600 amps 160.60 _ 4 - Name: : I\ J _W 1F -�If r,� , 1.— 6 01 amps to 1,000 amps 241360 — i� l i ,4ddrass: 5 3 4 S / 5 f Over !PO amps ry ats i 454.6 5 ! • i Temporary services or feeders installation, alteration, and/or : Cily/Statc/ZIP: itAvvo a 2 � 97 Z t 7 relocation i 'hune: ( S T > ) 43 .3-.7 -.7 2/f Fax: ( J - 2 1 ) 6 2.4 - el L 7 200 amps or less 66.85. -; 1 Owner installation: Phis installation is being made on property that I own which is not 201 amps to 400 amps 100.30 _- , i intended for sale, lease, rent, or exchange, according Co ORS 447, 449, 670, and 701. 401 amps to 599 e 133 75 , , - 1 time cvcuita -env alteration or exteesioe • r • sod • _ I :>wncr signature - Date: A. roe for branch air nits w•rrh •. r i CI APPLICANT I C] CONTACT PERSON - above service or feeder fee, 6.b5 eac b ranch circuit , ' ___ flusiness name: S. tree for branch circuits • - wflhoirr service or feeder fee, 2 I 46.85 x5 ? i___________ o name: got branch circuit _ Address: Each add'l branch circuit rim 6.65 (a r(0 1 -? v - Mi - — feellaneons /service or feeder not lacluded) „- __ City/State/ZIP: ) a manufactu or modular 90.90 , W - dw service andlor fader _ _ _ t Phone: ( ) l Fax:: ( ) Re:onucct only _ 66.85 _ 2 r. 1 - m —�^ _ Pu:np or irrigation circle 53.40 ^ - -? CONTRACTOR Sign eir outline lighting 53.40 tt" _ i Z r 1" A/ , / �7 .. c f•• Siva) circuits) or limited- ? 3us i nes5 name: E �� d C• r.L � r� � many panel, alteration, or — Address: 1 (21 G 0 • 6 4-f,/ extension. Describe: Pap 2 1 CityiStete/ZEP: A 0 � -j - d f ac67N— ' V , • Each additional Inspection over allowable In nay of Ibc above k— '?C7 Per inspection 62.50 ; ^ -- - mum: ( 3 ) q .j 9 7(1 Fax 3) G2'— (D 31 Investigation per hour tl ht rein) -, 62.40 t'C I) Lic.: Electrical Lia: C 4 Sup rv. Lic,:�jo3 S 11t tLstrial plant per hoar 73.75 - -1_ 1 4130 E LECTRICAL PERMIT .FEES Suprv. Electrician signature, required: `. A411°'/�.e^' �} Subtotal. . _ .. L. Authorized signat 1/111 �� - ---� �. ; f9 , ^ 5 507 faint name: t C• 1 'i C .. dA_A-2/l0 Date: L .. c , �� L Slate surcharge (12% of permit fee): (O. 7 ihrc: L TOTAL PERMIT FEE : 2 1 "Cher permit a pp Ga don mires It a permit 4 not abttdaed wrthty ri c.) I Print name �", t _t► .i�i_ .Q - Acut 7 -' L r days 'Owe le has beak stapled sa cwrp k Q €/,--- • Numbeof inspections allowed papermit. 4.7 �J •• t p.uo. neta....vercut rem cot n'1h ?roe 44oareis tl t.05/COa4,V1:9 CITY OF TIGARD I BUILDING DIVISION PERMIT #: ELC2008 -00 i05 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212612008 Phone: (503) 639 -4171 A tsi I Inspection Requests (24 Hrs.): (503) 639 -4175 I .. I INSPECTION WORKSHEET FOR DATE: 3/10/2008 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 08530 SW PFAFFLE ST CLASS OF WORK: SUBDIVISION: MET"ZGER ACRE TRACTS LOT #: 020 TYPE OF USE: PROJECT NAME: DALTON'S CATERING, DESCRIPTION: (2) branch circuits for exterior walk-in cooler. OWNER: DALTON, DAVE PHONE #: 503 - 267.4419 CONTRACTOR: Pte. /U W Ol G.4," PHONE #: '1/3 94P Inspection Request Scheduled For: Date: 3/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 066389-01 503-639-7211 N Corrections /Comments /Instructions: 1 N I I I P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ______P_____ Inspector: Date: 3 - I 0 -<? Phone #: (503) 718-